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Ankle-Foot Orthosis, Single Upright with Stop

Maine rates for HCPCS L1920

Ankle-foot orthosis (AFO), single upright with static or adjustable stop (Phelps or Perlstein type), custom fabricated

Rates data updated July 2026.

How much does Ankle-Foot Orthosis, Single Upright with Stop cost?

$295

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $295 for this service. The price depends on where it is billed: about $295 from a physician practice, and about $550 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$295$234 to $457
FacilityA hospital or hospital-owned outpatient department$550$251 to $617

How much rates vary

Facilitymedian $550 · 10th to 90th $204 to $661Professionalmedian $295 · 10th to 90th $191 to $457
$200$500$1Kfacility $550professional $295

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$234.42
Typical High
$316.23
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$616.60
Typical High
$707.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$316.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$245.47
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$549.54
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$275.42
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$194.98
Typical High
$251.19
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$436.52
Typical High
$457.09

Where Maine sits

The same service costs 3.0 times more in Minnesota than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Maine· 15th of 51

$295

MN $490DC $162

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.